# OPTIMAL CARE JACKSON, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013695568
- **Authorized official:** ERIK WILSON (PRESIDENT)
- **Authorized official phone:** (248) 723-9613

## Contact information

- **Practice address:** 103 S JACKSON ST STE 200, JACKSON, MI 49201-2211
- **Practice address phone:** (248) 723-9613
- **Mailing address:** 103 S JACKSON ST STE 200, JACKSON, MI 49201-2211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/06/2023
- **Last updated:** 11/21/2023